| NPI | 1093123671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORA PEGUES Administrator 662-843-3785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MS 800587752) |
| Additional Taxonomies | 347B00000X Bus (Licence: MS 800587752) |
| 347C00000X Private Vehicle (Licence: MS 800587752) | |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2015-06-15 |